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Thermoresponsive hydrogels in biomedical applications

Thermoresponsive hydrogels in biomedical applications
Thermoresponsive hydrogels in biomedical applications

Review article

Thermoresponsive hydrogels in biomedical applications

Leda Klouda,Antonios G.Mikos

*

Department of Bioengineering,Rice University,Houston,TX,USA Received 17November 2006;accepted in revised form 16February 2007

Available online 18July 2007

Abstract

Environmentally responsive hydrogels have the ability to turn from solution to gel when a speci?c stimulus is applied.Thermorespon-sive hydrogels utilize temperature change as the trigger that determines their gelling behavior without any additional external factor.These hydrogels have been interesting for biomedical uses as they can swell in situ under physiological conditions and provide the advan-tage of convenient administration.The scope of this paper is to review the aqueous polymer solutions that exhibit transition to gel upon temperature change.Typically,aqueous solutions of hydrogels used in biomedical applications are liquid at ambient temperature and gel at physiological temperature.The review focuses mainly on hydrogels based on natural polymers,N -isopropylacrylamide polymers,poly(ethylene oxide)–b -poly(propylene oxide)–b -poly(ethylene oxide)polymers as well as poly(ethylene glycol)-biodegradable polyester copolymers.

ó2007Elsevier B.V.All rights reserved.

Keywords:Thermosensitive hydrogels;In situ gelation;Drug delivery;Tissue engineering;Lower critical solution temperature

1.Introduction

Hydrogels are composed of hydrophilic homopolymer or copolymer networks and can swell in the presence of water or physiological ?uids.Chemical crosslinks (covalent bonds)or physical junctions (e.g.secondary forces,crystal-lite formation,chain entanglements)provide the hydrogels’unique swelling behavior and three-dimensional structure [1–3].Hydrogels have been a topic of extensive research in the past decades and their properties as for example their high water content and the possible control over the swell-ing kinetics make them very attractive for biomedical applications.More speci?cally,in situ forming hydrogels can provide a means for simple,‘‘custom-made’’therapeu-tics and diagnostics.A polymer solution can be prepared and allowed to gel in situ ,after photopolymerization [4,5],chemical crosslinking [6,7],ionic crosslinking [8]or in response to an environmental stimulus such as tempera-ture,pH or ionic strength of the surrounding medium [9,10].Hydrogels that respond to temperature change are the subject of this review.Their sensitivity to the thermal environment is useful as temperature is the sole stimulus for their gelation with no other requirement for chemical or environmental treatment,and can be thus produced e.g.upon injection to the body,when temperature is increased from ambient to physiological.

The phenomenon of transition from a solution to a gel is commonly referred to as sol–gel transition.Some hydrogels exhibit a separation from solution and solidi?cation above a certain temperature.This threshold is de?ned as the lower critical solution temperature (LCST).Below the LCST,the polymers are soluble.Above the LCST,they become increasingly hydrophobic and insoluble,leading to gel for-mation.In contrast,hydrogels that are formed upon cooling of a polymer solution have an upper critical solution temper-ature (UCST)[10].The sol–gel transition of thermosensitive hydrogels can be experimentally veri?ed by a number of techniques such as spectroscopy [11–13],di?erential scan-ning calorimetry (DSC)[11,12]and rheology [11].

There are various mechanisms behind thermogelation in aqueous solutions,and for some polymers they are still a

0939-6411/$-see front matter ó2007Elsevier B.V.All rights reserved.doi:10.1016/j.ejpb.2007.02.025

*

Corresponding author.Department of Bioengineering,Rice Univer-sity,P.O.Box 1892,MS-142,Houston,TX 77251-1892,USA.Tel.:+17133485355;fax:+17133484244.

E-mail address:mikos@https://www.doczj.com/doc/be17695989.html, (A.G.Mikos)https://www.doczj.com/doc/be17695989.html,/locate/ejpb

Available online at https://www.doczj.com/doc/be17695989.html,

European Journal of Pharmaceutics and Biopharmaceutics 68(2008)

34–45

topic of debate.Many polymers show a decrease in solubil-ity that is attributed by changes in the overall hydrophilic-ity of the polymer chains upon temperature change.When a polymer is dissolved in water,there are three types of interactions that take place:between polymer molecules, polymer and water and between water molecules.For poly-mers exhibiting an LCST,temperature increase results in a negative free energy of the system which makes water–polymer association unfavorable,facilitating the other two types of interactions.This negative free energy(D G) is attributed to the higher entropy term(D S)with respect to the increase in the enthalpy term(D H)in the thermody-namic relation D G=D HàT D S.The entropy increases due to water–water associations which are the governing interactions in the system.This phenomenon is the so-called hydrophobic e?ect[11,14,15].Polymer micelle packing[16]and coil to helix transition causing network formation[17]are examples of the conformational changes that take place at the critical solution temperature.All of these result in a reversible physical linking of the polymer chains,and gels can therefore return to solution after the thermal stimulus that caused their gelation is removed.

This article reviews the applications of thermosensitive hydrogels in?elds of interest for pharmaceutical and biomedical scientists and engineers.It emphasizes mainly the use of hydrogels based on natural polymers,N-isopro-pylacrylamide(NiPAAM)polymers,poly(ethylene oxide)–b-poly(propylene oxide)–b-poly(ethylene oxide)(PEO–PPO–PEO)as well as poly(ethylene glycol)(PEG)-biodegradable polyester copolymers.As there are some excellent reviews [18,19]summarizing the literature on thermosensitive hydrogels published in the past years,the scope of this work is to cover the advances in the?eld from2004until today(2006)(Fig.1).

2.Natural polymers and derivatives

Many natural polymers have been shown to exhibit gelation upon temperature change.Researchers have used them alone or in combination with synthetic polymers to fabricate thermally responsive hydrogels with desired properties.

2.1.Polysaccharides

2.1.1.Cellulose derivatives

Cellulose is a natural polysaccharide which is insoluble in water.Substitution of the hydroxyl groups on cellulose with more hydrophobic units as methyl or hydroxypropyl groups renders the originally insoluble cellulose water sol-uble[11].Methylcellulose(MC)is a cellulose derivative that has been extensively investigated for biomedical applications.It has thermoreversible gelation properties in aqueous solutions,gelling at temperatures in the range of60–80°C and turning into a solution upon cooling [11,20].Liu et al.[21]have grafted methylcellulose with the synthetic N-isopropylacrylamide(NiPAAm),combin-ing the thermogelling properties of both materials.It was possible to prepare fast reversibly thermogelling hydrogels by adjusting the ratios of the two components.They reported that a low percentage of methylcellulose decreases the LCST as compared to pNiPAAm,but with a high MC ratio the LCST increases.They also found that addition of MC to NiPAAM polymers enhances the mechanical strength of the hydrogel with no syneresis.

Another interesting approach towards a thermosensitive hydrogel system based on methylcellulose was recently reported by Stabenfeldt et al.[22].As it had been shown before[23]that methylcellulose showed low protein adsorption and cell adhesion,Stabenfeldt et al.functional-ized methylcellulose with the protein laminin,aiming towards the creation of a bioactive sca?old for neural tissue engineering.In order to facilitate laminin tethering,meth-ylcellulose was oxidized previous to functionalization. They reported that the laminin-functionalized oxidized methylcellulose(OXMC+LN)hydrogel promoted neuro-nal cell adhesion and showed higher cell viability rates than methylcellulose(MC),oxidized methylcellulose(OXMC) or laminin-functionalized methylcellulose(MC+LN) (Fig.2).Moreover,the concentration could be adjusted so that the hydrogel exhibits a lower critical solution tem-perature slightly below physiological temperature.

2.1.2.Chitosan

Chitosan is produced with the deacetylation of chitin, which can be found in the outer skeleton of shrimp and insects,among others.We would like to refer the reader to the excellent review by Garie′py and Leroux[19]which covers the developments of thermosensitive chitosan-pol-yol salt hydrogels until2004.More recently,Bhattarai et al.[24]incorporated poly(ethylene glycol)(PEG)into chitosan and were able to form a thermoreversible hydro-gel with no additional crosslinking agents.Moreover, PEG grafting improved the solubility of chitosan in water, and the gelation was found to be possible in physiological pH values.The same group[25]evaluated the PEG-grafted chitosan for controlled drug release in https://www.doczj.com/doc/be17695989.html,ing albumin as a model protein,an initial burst release was observed, which was followed by a steady release from the hydrogel for about3days.After this time,the remaining albumin could not be released from the hydrogel until the gel matrix was dissolved in the media.When the PEG-grafted chito-san was crosslinked in situ with genipin,a crosslinking agent with low cytotoxicity,quasi-linear drug release was possible for up to40days;however the hydrogel lost its thermoreversibility at37°C.

Chitosan-based hydrogels have been also investigated as potential cell carriers for tissue engineering applications.A copolymer of NiPAAm and water-soluble chitosan was tested for chondrogenic di?erentiation of human mesen-chymal stem cells(hMSC).The hydrogel showed a stable gelation at37°C and di?erentiation of hMSC into chon-drocytes was observed,both in vitro and in vivo.This hydrogel could be used for a minimally invasive treatment

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of vesicouretral re?ux with an endoscopic procedure through a single injection[26].Dang et al.[27]modi?ed chitosan by adding hydroxybutyl groups to its hydroxyl and amino reactive sites,rendering it water soluble and thermally responsive.The resulting hydrogel could gel within seconds after exposure to physiological temperature and was su?ciently strong to be handled with,as for exam-ple to measure mechanical properties.Upon cooling,the gel returned to liquid state.Having as an ultimate goal the treatment of degenerative disc disease,the hydrogel’s interaction with hMSC and cells derived from the interver-tebral disc was tested.The cells were able to proliferate and produce extracellular matrix when encapsulated in the hydrogels for a period up to2weeks.

A chitosan-glycerophosphate salt(GP)hydrogel was recently tested for its potential in neural tissue engineering.

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This thermally responsive hydrogel,as developed initially by Chenite et al.[28],has been shown to have good bio-compatibility in vitro ,but it had not been yet tested with nerve cells.Crompton et al.[29]compared the hydrogel to polylysine-functionalized chitosan-GP,with the hypoth-esis that the peptide polylysine might improve neuronal adhesion and neurite outgrowth.When neurons were grown in a two-dimensional culture,the functionalized hydrogel did not seem to signi?cantly a?ect cell survival as compared to chitosan-GP,but it was observed that increasing concentrations of polylysine inhibited neurite outgrowth.However,when the cells were cultured in a three-dimensional functionalized gel,a geometry that is more representative of the extracellular matrix (ECM)

environment,in certain polylysine concentrations more cells were viable than on non-modi?ed chitosan-GP.The authors concluded that polylysine-chitosan-GP may be a good candidate for neural tissue engineering.

2.1.

3.Dextran

A modi?ed precursor of the enzymatically biodegrad-able dextran (Dex)was formed by reaction with maleic anhydride (MA)and the Dex-MA polysaccharide was given thermoresponsive properties by photocrosslinking it with NiPAAm.The resulting hydrogel was partially biode-gradable and exhibited a higher LCST than pNiPAAm due to the hydrophilic and biodegradable nature of Dex-MA.Additionally,the carboxylic end groups of Dex-MA

render

Fig.2.Viability of neurons plated within methylcellulose sca?olds.(A)Representative micrograph images from 100-l m thick confocal scans of 3-D neuronal cultures in MC,OXMC,MC +LN,and OXMC àLN at 1day post-plating.Live cells:green,Dead cells:red.Scale bar =50l m.(B)A signi?cant increase in cell viability as indicated by #was observed with OXMC àLN when compared to MC,OXMC,and MC +LN,which did not show statistically signi?cant di?erences from each other (p <0.01).Reproduced from [22]with permission.(For interpretation of the references in color in this ?gure legend,the reader is referred to the web version of this article.)

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the hydrogel pH sensitive[30].Another approach based on a dextran polysaccharide was reported by Huang et al.[31].

A dextran macromer containing oligolactate and2-hydroxyethyl methacrylate units(Dex-lactate-HEMA), which has hydrolytically degradable blocks,was copoly-merized with NiPAAm.This hydrogel showed an LCST close to that of pNiPAAm(approximately32°C).Its swell-ing and degradation in phosphate bu?ered saline(PBS) were studied at25and37°C.At25°C,which is below the LCST,the hydrogels had disintegrated within2weeks, with the rate of dissolution depending on their composi-tion.At37°C however,the degradation was much slower due to increased hydrophobic e?ects.Interestingly,when the hydrogel was tested for drug delivery,it was shown that a low molecular weight drug(methylene blue)was released slower at25°C than at37°C,whereas the opposite was observed for a high molecular weight substance(bovine serum albumin–BSA)(Fig.3).The authors concluded that the drug release pro?le depends on a number of factors,as the temperature,the swelling and degradation characteris-tics of the hydrogel,as well as the interactions of the drug and the hydrogel macromolecules.

2.1.4.Xyloglucan

Xyloglucan is a cytocompatible polysaccharide and has exhibited thermally responsive behavior when more than 35%of its galactose residues are removed[32].Xyloglucan gels have been used as a drug delivery vehicle for various applications[19],however there are not many data on the rheological and morphological characteristics of these hydrogels.Nisbet et al.[33]have examined the gelation properties of xyloglucan hydrogels as well as their mor-phology under physiological conditions.The gelation pro-cess seemed to be in?uenced by the presence of ions in PBS as compared to deionized water.As to the optimum con-centration,it was found that3%(wt)xyloglucan in aque-ous media possesses an elastic modulus that is signi?cantly higher than other natural or synthetic hydro-gels.Moreover,this concentration yielded a gel that could be freeze-dried and examined with scanning electron microscopy.The images showed a macroporous,intercon-nected,three-dimensional network.

2.2.Proteins

2.2.1.Gelatin

Gelatin is another biopolymer with thermoreversible properties.At temperatures below25°C,an aqueous gela-tin solution solidi?es due to the formation of triple helices and a rigid three-dimensional network.When the tempera-ture is raised above approximately30°C,the conformation changes from a helix to the more?exible coil,rendering the gel liquid again[17].As the opposite thermal behavior is desired for biomedical applications,researchers have com-bined gelatin with other polymers,which show thermal gelation close to body temperature.Gelatin has the advan-tage of allowing for easy modi?cation on the amino acid level;moreover,it is biodegradable and biocompatible [34].A binary-component hydrogel composed of gelatin and monomethoxy poly(ethylene glycol)–poly(D,L-lactide) (mPEG–DLLA)block copolymers was synthesized by Yang and Kao[34].For most compositions of gelatin and mPEG-DLLA,the hydrogel was shown to?ow at37°C and gel at room temperature,however a100mg/mL gelatin solution underwent fast gelation at37°C when mixed with 30%wt mPEG–DLLA.Di?erent hydrogel compositions were also examined for drug release kinetics with gentamy-cin sulfate as the model drug.At room temperature,5days or longer was necessary for50%drug release,and the release lasted up to40days.At37°C,gelatin-mPEG-DLLA showed an even slower release pro?le,however after1week the release was no longer detectable due to degradation of the hydrogel matrices.

Ohya and Matsuda[35]have grafted gelatin with NiP-AAm in an e?ort to produce a thermoresponsive extracel-lular matrix analogue.Aqueous solutions showed a sol–gel transition at physiological temperature when the weight ratio of pNiPAAm to gelatin chains was higher than5.8. Smooth muscle cells were suspended in medium solutions of pNiPAAm/gelatin and subsequently incubated

at Fig.3.Fractional release from a hydrogel with5:4NiPAAm:Dex-lactate-HEMA weight ratios in PBS of methylene blue(a)and BSA(b)at25(s)and37 (d)°C.Reproduced from[31]with permission.

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37°C.It was shown that a low hydrogel concentration (5%w/v)and a high pNiPAAm to gelatin ratio (P/G)sup-ported the highest cell proliferation and extracellular matrix production.The authors suggested that this was due to increased hydrophobicity caused by higher pNi-PAAm ratios,which would lead to the formation of large aggregates.As a result,a higher porosity with larger pore size occurs,which comprises a favorable cell environment (Fig.4).

Another protein-based hydrogel was proposed by Gil et al.[36].Gelatin was blended with silk ?broin to yield a thermoresponsive gel,which was stabilized at 37°C by the presence of b crystals of silk ?broin.The swelling pro-?le at temperatures below and above the helix-to-coil trans-formation of gelatin was evaluated,as well as the protein release from the matrices.The gel showed a higher swelling at physiological temperatures as compared to 20°C,but also higher mass loss due to dissolution and release of gelatin.

3.N -Isopropylacrylamide-based systems

Hydrogels based on poly(N -isopropylacrylamide)(pNiPAAm)and its copolymers belong to the most inten-sively investigated thermoreversible systems.Recent developments on pNiPAAm-based hydrogels include their use for drug delivery [12,13,37,38],cell encapsulation and delivery [39,40]and cell culture surfaces [41].Poly(N -iso-propylacrylamide)is non-biodegradable and exhibits a sharp phase transition,with an LCST at about 32°C in pure water [37,42].Below the LCST,pNiPAAm assumes a ?exible,extended coil conformation in aqueous solu-tions.At the LCST,it becomes hydrophobic and the poly-mer chains seem to collapse prior to aggregation in globular structures [14,43].Copolymerization of NiP-AAm with a more hydrophilic monomer increases the overall hydrophilicity of the polymer,and the stronger polymer–water interactions lead to an increase in the LCST.Likewise,copolymerization with a more hydro-phobic monomer results in a lower LCST than pNiPAAm [44].Moreover,the phase transition temperature is in?u-enced by the presence of salts [45]and pH to a certain extent [42,45].

Coughlan and colleagues [38]evaluated the swelling and release pro?le of crosslinked pNiPAAm hydrogels as a function of the physicochemical properties of the loaded drugs.Dried hydrogel discs were loaded by sorption of a drug solution,the solvent was removed and the hydrogels were allowed to swell in a bu?er solution.Hydrogel swell-ing was decreased in the presence of hydrophobic drugs and the opposite e?ect was observed for hydrophilic drugs.In temperatures above the LCST,the system showed con-traction and deswelling,and a solubility-dependent drug pulse release was shown for hydrophobic drugs,whereas hydrophilic drugs showed a molecular weight-dependent drug pulse.The authors suggested that drug properties such as solubility,size and chemical nature should be con-sidered when a thermosensitive hydrogel as pNiPAAm is chosen as a delivery vehicle.

Copolymers of NiPAAM have also been popular in an attempt to yield hydrogels with thermal responsiveness and improved properties.The hydrogel potential of NiP-AAM copolymers with acrylic (AA)[12,39]and propylac-rylic acid (PAA)[13]was examined.The thermoreversible p(NiPAAm-co -AA)hydrogel was tested as a cell and drug delivery vehicle.Chondrocytes,dexamethasone and ascor-bate as di?erentiation factors as well as transforming growth factor b 3(TGF-b 3)were encapsulated in the hydrogel and were implanted subcutaneously in mice.The chondrogenic factors were provided in order to hinder chondrocyte de-di?erentiation in vivo .After 8weeks,signif-icant collagen II expression as well as proteoglycan

and

Fig.4.Structure of pNIPAAm-gelatin (P/G)hydrogels as a function of P/G ratio and concentration.Reproduced from [35]with permission.

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polysaccharide production was evident,indicating that the cells had preserved their phenotype.This hydrogel in com-bination with the di?erentiation and growth factors holds promise for cartilage tissue engineering[39].Liu et al.

[12]have synthesized p(NiPAAm-co-AA)and polymerized it with ethyl acrylate(EA)using the interpenetrating poly-mer network(IPN)technology.An interpenetrating poly-mer network is formed by hydrophilic and hydrophobic networks that are only physically interconnected,without any chemical bonding,so that individual components retain their original properties.The same group[46]had found that IPN structures are e?ective amphiphilic drug carriers.A pH dependence on the swelling ratio of p(NiPAAm-co-AA)as well as of interpenetrating polymer network with ethyl acrylate(p(NiPAAm-co-AA)/pEA IPN)was observed at37°C.This was attributed to the presence of the carboxyl group on the acrylic acid.Swelling was lower on the IPNs due to the hydrophobic pEA.The drug release kinetics of both hydrogels were evaluated using daidzein as a model drug.P(NiPAAm-co-AA) showed an initial burst release,which was not observed on p(pNiPAAm-co-AA)/pEA IPN.It was concluded that the pEA chains in the IPN structure had a favorable e?ect in maintaining a slower and more stable release pro?le[12]. Also,copolymers of NiPAAm with propylacrylic acid (PAA)show a temperature and pH-sensitive behavior. Yin et al.[13]synthesized copolymers by a reversible addition fragmentation transfer(RAFT)method,using di?erent NiPAAm and PAA ratios.They showed that even small changes in pH can have a big e?ect on the LCST of the hydrogel.This feature can be useful for applications such as drug delivery,where physiological temperature and local pH di?erences can both act as stimuli,and for molecular switching over a desired pH range.

An interesting approach to a combination of stimuli-responsive attributes was recently proposed by Xu et al.

[47]in the form of a triblock copolymer hydrogel.A poly ((2-dimethyl amino)ethyl methacrylate-co-2-hydroxyethyl methacrylate)–b-poly(N-isopropylacrylamide)–b-poly((2-dimethyl amino)ethyl methacrylate-co-2-hydroxyethyl methacrylate)or p(DMAEMA-co-HEMA)-b-p(NiPAAm)-b-p(DMAEMA-co-HEMA)copolymer was synthesized by atom transfer radical polymerizations(ATPR).The hydroxyl groups on HEMA allowed for chemical cross-linking with glutaraldehyde.The hydrogel showed combined characteristics of its building blocks:its temper-ature-responsive behavior was attributed to pNiPAAm and the pH-sensitivity to pDMAEMA.

Our group[40]has synthesized thermogelling macro-mers for fabrication of a hydrogel for orthopedic tissue engineering applications.The aim was to yield a gel with better mechanical properties than most hydrophilic inject-able hydrogels.This was accomplished by incorporating a hydrophobic domain that provides cohesive interactions as well as functional groups for chemical crosslinking.A random copolymer of pentaerythritol monostearate diacrylate(PEDAS),N-isopropylacrylamide(NiPAAm),acrylamide(AAm)and2-hydroxyethyl acrylate(HEA) was synthesized.PEDAS contains a lipophilic side chain, and AAm and HEA can modulate hydrophilicity and add groups for subsequent acrylation and crosslinking.The thermal gelation is attributed to the NiPAAm block. Our studies so far have shown that the macromers possess a thermoreversible behavior.Future work is directed into further development and characterization of the hydrogel and examination of its potential in bone regeneration.

Another issue that has to be addressed is biodegradabil-ity.Many homo-and copolymers of NiPAAm are not bio-degradable[48],a fact that may prove problematic for some biomedical engineering applications.Nakayama and colleagues[37]have prepared thermally responsive, biodegradable polymeric micelles for controlled drug release.A hydrophobic block in the micelles was used to incorporate water-insoluble drugs.By combining a poly(N-isopropylacrylamide-co-N,N-dimethylacrylamide) (p(NiPAAm-co-DMAAm))block,which has an LCST around40°C,with poly(D,L-lactide),poly(e-caprolactone) or poly(D,L-lactide-co-e-caprolactone),which are all biode-gradable and hydrophobic,the group was able to fabricate polymeric micelles with controlled dimensions and phase transition temperatures.Below the LCST,the thermore-sponsive block forms the outer shell of the micelle,but upon temperature increase above the LCST,the block becomes increasingly hydrophobic and shrinks.In the case of p(NiPAAm-co-DMAAm)-b-p(D,L-lactide-co-e-caprolac-tone)diblock copolymer,temperature increase above the LCST proved to facilitate drug release(Fig.5).

Polymers based on pNiPAAm have found applications in another?eld crucial to biomedical scientists:their ther-moresponsive behavior has been proven useful in cell cul-ture substrates.By introducing a pNiPAAm layer on tissue culture plates,the hydrophilicity of the substrate can be modulated with temperature switch.It is well known that most cells preferentially adhere to hydropho-bic surfaces.Above its LCST(32°C),pNiPAAm shows a hydrophobic behavior.It represents therefore a suitable surface for cell attachment and proliferation at physiolog-ical temperature.By lowering the temperature below the LCST,the culture surface becomes hydrophilic and the cells automatically detach[49].This cell recovery tech-nique is a good alternative to the conventional,but often damaging,enzymatic or mechanical detachment methods. Recently,Hatakeyama et al.[41]have been producing bioactive,thermoresponsive cell culture surfaces by immobilizing the cell adhesive peptide RGDS and the growth factor insulin on a NiPAAm-copolymer.N-Iso-propylacrylamide was copolymerized with its analogue 2-carboxyisopropylacrylamide and the polymer was grafted onto polystyrene tissue culture dishes,followed by RGDS and insulin immobilization.They found that these factors increase cell adhesion and proliferation, reducing therefore culture time.When the temperature was brought to20°C,the cells could be easily recovered as contiguous tissue monolayers.

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4.PEO/PPO-based systems

Triblock copolymers poly(ethylene oxide)–b -poly(pro-pylene oxide)–b -poly(ethylene oxide)(PEO–PPO–PEO),known also as Pluronic òor Poloxamers,are another important group of synthetic polymers with a thermore-versible behavior in aqueous solutions.By adjusting the composition,the molecular weight and the concentration,this reversible gelation can occur at physiological tempera-ture and pH [50].The polymers owe their amphiphilic structure to the hydrophilic ethylene oxide and the hydro-phobic propylene oxide.The gelation mechanism of PEO/PPO block copolymers in aqueous solutions has been a topic of extensive investigation,and a possible explanation to this phenomenon could be given by the changes in micel-lar properties as a function of both concentration and temperature.Amphiphilic block copolymer molecules can self assemble into micelles in aqueous solutions.Above a certain concentration,termed as the critical micelle concen-tration (CMC),the polymer molecules,which were previ-

ously in solution,aggregate and form micelles.Members of the Pluronic òfamily which are used for drug delivery exhibit a CMC of 1l M to 1mM at 37°C.Moreover,the micelle formation has strong temperature dependence.Below a certain temperature,termed as the critical micelle temperature (CMT),both ethylene and propylene oxide blocks are hydrated and poly(propylene oxide)is relatively soluble in water.With temperature increase,poly(propyl-ene oxide)chains become less soluble,resulting in micelle formation [16].

As Pluronic òare commercially available in a range of molecular weights,composition ratios and forms,it would be useful to mention the nomenclature rules for these copolymers.The letter in the notation stands for liquid (L),paste (P)or ?akes (F),whereas the ?rst two numbers indicate the molecular weight of the PPO block and the last number the weight fraction of the PEO block.For exam-ple,the commonly used in biomedical applications F127has a weight percentage of 70%PEO and a molecular weight of PPO around 4000[50].

Over the past years,these copolymers have been exten-sively used in applications such as drug and gene delivery [16],inhibition of tissue adhesion [51,52]and burn wound covering [53,54].Newer advances in gene delivery are sum-marized elsewhere [55].Pluronic òrepresent a bio-inert environment,attributed by the hydrophilicity and ?exibil-ity of PEO chains [56].Therefore,most cells do not grow on these polymers,which have been used as tissue adhesion barriers.However,it was shown that Pluronic òcan be a good substrate for hematopoietic stem cells,supporting their culture and preservation more than conventional tis-sue culture dishes [57,58].Recently,the use of Pluronic òF127(synonymous to poloxamer 407)was reported for tis-sue engineering applications.This polymer has been found to have a rapid gelation at 37°C (after 1-min incubation,30%solution in cell culture medium)[59].F127was evalu-ated as a sca?old for lung tissue engineering,showing promising results on tissue growth with low in?ammatory response [60].Weinand and colleagues [59]tested a b -trical-cium phosphate (b -TCP)sca?old,using a F127hydrogel to facilitate cell delivery and distribution for an in vitro study aiming at bone regeneration.They reported that F127was no longer present in the channels of the b -TCP sca?old after 1week in culture and seemed to have degraded.Bone tissue growth was only weakly induced,and the constructs showed lower sti?ness than other hydrogel (?brin,collagen I)composites evaluated.

In general,Pluronic òF127has been found to have inad-equate mechanical integrity which makes them inappropri-ate for certain biomedical applications.The hydrogels show a low viscosity,which has as consequences poor mechanical strength,high permeability and limited stability with quick dissolution [61,62].Cohn and colleagues pro-posed two new mechanisms to create copolymers based on Pluronic òF127with improved mechanical properties.In both cases they relied on the principle of a multiblock backbone with the addition of covalently bound

repeating

Fig. 5.Drug release from a thermosensitive polymer micelle upon temperature increase.Reproduced from [37]with permission.

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units.This way,the macromolecular structure and orienta-tion could be controlled.The?rst involved the polymeriza-tion of F127,with hexamethylene diisocyanate as a chain extender,forming poly(ether-urethanes).The second relied on the covalent binding of poly(ethylene glycol)and poly(propylene glycol),which as such do not possess ther-mogelling properties at physiological temperatures,using phosgene as a coupler and forming poly(ether-carbonates). Both newly synthesized polymers exhibited signi?cantly higher viscosities than F127at37°C,and the poly(ether-urethanes)displayed much slower drug release kinetics than the original polymer[61].The group developed the idea of thermoresponsive PEO/PPO polymers with improved mechanical behavior further in the next years. Their strategies included:(i)introduction of end groups that would allow for in situ chemical crosslinking after thermal gelation,such as carbon–carbon double bonds

[63],ethoxysilane groups[62,64]and methacrylate groups

[64],(ii)synthesis of poly(ethylene oxide)and poly(propyl-ene oxide)block copolymers using diacyl chloride as a cou-pling agent[65],(iii)synthesis of PEO/PPO copolymers with incorporation of e-caprolactone[65,66]or lactide [66]oligoester segments prior to chain extension.The latter approach yielded biodegradable hydrogels due to hydro-lytic cleavage of the ester bonds.

The need for more stable hydrogels was identi?ed also by Cellesi et al.[67–69].Their approach mimicked the nat-ural thermal gelation of alginate by relying on the occur-rence of a physical mechanism,attributed by the thermosensitive nature of Pluronicò,followed by an irre-versible chemical mechanism,due to covalent crosslinking by the reaction of groups at the termini of the copolymer. They named their gelation approach‘‘tandem process’’due to the cooperative action of both mechanisms(Fig.6).

Pluronicòpolymers were functionalized with acrylic moieties and thiols at their end groups and were subse-quently gelled at37°C,where a Michael-type addition took place and allowed for a slower chemical curing.It was found that these polymers were biocompatible,and so was their gelation process,which can be performed at physiological temperature and pH,allowing for encapsula-tion of sensitive drugs and cells[67].In order to limit steric hindrance phenomena,a similar method was followed with Tetronicòpolymers,which are thermosensitive tetra-armed Pluronicòanalogues[68].By adjusting the molecular weight of the precursors and the functionalization(there-fore also the crosslinking density),the?nal mechanical and transport properties of the‘‘tandem’’polymers can be controlled[68,69].Moreover,the‘‘tandem’’method allows for easy processing of the polymers,for example into spherical beads and hollow capsules[69].

5.Other synthetic polymers

5.1.PEG/biodegradable polyester copolymers

The copolymerization of hydrophilic,biocompatible poly(ethylene glycol)(PEG)with biodegradable and bio-compatible polyesters has yielded some interesting hydro-gel systems.Thermoresponsive properties were given by the appropriate adjustment of the hydrophobic polyester block and the PEG block length.

In1997,Jeong and colleagues[70]reported the synthesis of injectable poly(ethylene glycol)–b-poly(D,L-lactic acid-co-glycolic acid)–b-poly(ethylene glycol)(PEG–PLGA–PEG) triblock copolymers.These polymers were biocompatible, biodegradable and exhibited a sol–gel transition.The use of high molecular weight-PLGA combined with low molec-ular weight-PEG resulted in a hydrogel with quick gelation at physiological temperature.The combination of hydro-phobic/hydrophilic units created a surfactant behavior of the polymers in water,facilitating thus also the solubiliza-tion of hydrophobic drugs.In vivo studies showed su?cient mechanical properties and integrity for longer than a month[71].More recently,Chen et al.[72]developed a tri-block PLGA-PEG-PLGA-based system for the controlled release of testosterone.Testosterone is water-insoluble and so far,its delivery systems included patches,creams, gels,injectables and implants[73].A slower in vitro release of testosterone was observed for copolymers with longer PLGA blocks,possibly due to the slower degradation of these hydrophobic units.The thermosensitive polymers showed a controlled,linear release for a period of3

months.

Fig.6.Illustration of the‘‘tandem’’gelation process.Reproduced from[69]with permission. 42L.Klouda,A.G.Mikos/European Journal of Pharmaceutics and Biopharmaceutics68(2008)34–45

Another recent approach towards a thermoresponsive system involved the synthesis of a multiblock copolymer with a biodegradable polyester.Alternating multiblock poly(ethylene glycol)/poly(L -lactic acid)(PEG/PLLA)copolymers were produced.It was shown that sol-to-gel transition was depending on both the total molecular weight (MW)and the MW of each building block.In vitro and in vivo gelation studies determined that a copolymer with a total MW of 6700Da and 600/1300(MW of PEG/PLLA blocks,respectively)holds potential as an injectable carrier for biomedical applications in terms of transition temperature and modulus at 37°C (Fig.7)[74].Our group has proposed the combination of methoxy poly(ethylene glycol)(mPEG)with poly(propylene fuma-rate)(PPF)and the synthesis of a mPEG–PPF–mPEG tri-block copolymer [75].Copolymers exhibited an LCST depending on the molecular weight of mPEG,and it was shown that their LCST was strongly in?uenced by the pres-ence of salts.Moreover,the presence of the fumarate dou-ble bonds on PPF can allow for chemical crosslinking,enhancing thus the stability of the hydrogels.Recently,this hydrogel was evaluated for articular cartilage tissue engi-neering [76].Chondrocytes were encapsulated in the hydro-gel at 37°C and subsequently tested for their phenotypic characteristics.It was found that chondrocytes cultured in PEG/PPF hydrogels proliferated and produced signi?-cant levels of proteoglycans and collagen type II,which are both markers of the chondrocytic phenotype.When compared to cells cultured in agarose and alginate hydro-gels,two materials widely studied for chondrocyte delivery,proliferation levels in PEG/PPF were similar,however pro-teoglycan and collagen production was lower.Supplement of the bone morphogenic protein 7in PEG/PPF hydrogels

was also shown to increase chondrocyte proliferation,but not proteoglycan synthesis.5.2.Poly(organophosphazenes)

Current advances on poly(organophosphazenes)include their use as drug [77,78]and cell [79]delivery systems.Poly(organophosphazenes)grafted with mPEG and amino acid esters were reported as a new class of biodegradable and thermosensitive polymers in 1999[48].Sohn and col-leagues [80]developed a correlation for the LCST of these polymers as a function of their molecular structure,which comprises hydrophilic (PEG)and hydrophobic (amino acid esters)side groups.The polymers showed a sustained release pro?le for both hydrophobic [77]as well as hydro-philic [78]drugs for over 3and 2weeks,respectively.Also their use as cell carriers holds promise,as shown recently.Hepatocytes cultured in poly(organophosphazene)hydro-gels were able to maintain good viability and liver-speci?c activity for a period of 4weeks [79].6.Conclusions

Research in the area of thermoresponsive polymers for drug and gene delivery as well as for tissue adhesion pre-vention and wound covering has been well established in the past years.More recently,hydrogels exhibiting a ther-mosensitive sol–gel behavior have been reported as cell carriers for tissue regeneration.Typically,aqueous solu-tions of hydrogels used in biomedical applications are liquid at ambient temperature and gel at 37°C.Poly(N -isopropylacrylamide)and its copolymers with other syn-thetic or natural polymers is one of the most investigated thermoresponsive systems.By the appropriate copolymer-ization,intrinsic drawbacks of pNiPAAm like its non-bio-degradability and mechanical properties may be improved.Moreover,researchers have achieved to resolve the instability problems of another popular system,Plu-ronic ò.It is important to recognize the properties of the system(s)the hydrogel will be in contact with (such as hydrophilic or hydrophobic drugs,cells)and also the way and locus of administration in order to optimize the result.Each application has di?erent requirements,and it is possible to tailor the hydrogel properties to match a speci?c use.Acknowledgments

Research in the area of synthetic polymers for biomedi-cal applications has been funded by the National Institutes of Health (Grant Nos.:R01DE15164and R01AR48756).References

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L.Klouda,A.G.Mikos/European Journal of Pharmaceutics and Biopharmaceutics68(2008)34–4545

小学joinin剑桥英语单词汇总

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